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DAVINA LAM
NPI 1245863737
Physician Assistant - Surgical in San Diego, CA

Active since February 13, 2020PECOS EnrolledAccepts Medicare Assignment
6719 ALVARADO RD STE 308, SAN DIEGO, CA 92120(619) 265-7912 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Aug 14, 2021, Jul 22, 2021 and 1 more (4 updates tracked since 2020).

About Davina Lam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVINA LAM (NPI 1245863737) is an individual surgical provider in San Diego, California and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245863737
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDAVINA LAM
Location Address6719 ALVARADO RD STE 308San Diego, CA 92120-5268
Mailing Address6719 Alvarado Rd Ste 308San Diego, CA 92120-5268
Phone(619) 265-7912
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 13, 2020
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 14, 2021
✔ NPI 1245863737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6719 ALVARADO RD STE 308, San Diego, CA 92120
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Davina Lam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739586173
PECOS Enrollment IDI20210927003287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMELIA LUCKOW PA-C
Physician Assistant
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
PHILIP J KRUEGER MD INC
Clinic/Center
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
SOPHEA BERGEN PA-C
Physician Assistant
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
JEFFRY JACOB MERCADO M.D.
Physical Medicine & Rehabilitation
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
EMMA LUCILLE POOL PA-C
Physician Assistant
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davina Lam's NPI number?

The NPI number for Davina Lam is 1245863737. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Davina Lam located?

Davina Lam practices at 6719 Alvarado Rd Ste 308, San Diego, CA 92120. The listed phone number is (619) 265-7912.

What is Davina Lam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Davina Lam enrolled in Medicare?

Yes. Davina Lam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Davina Lam was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.